CALIFORNIA HOME FOR THE AGED, INC.
NPI 1205903176
Skilled Nursing Facility in Fresno, CA
- Organization
- Skilled Nursing Facility
- CLIA Number: 05D0885228
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 04-15-2028
About CALIFORNIA HOME FOR THE AGED, INC.
This page provides the complete NPI Profile along with additional information for California Home For The Aged, Inc., a provider established in Fresno, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1205903176 assigned on November 2006. The practitioner's primary taxonomy code is 314000000X with license number 040000081 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Ms. Yuba Radojkovich (Administrator)
- NPI
- 1205903176 Verify this NPI
- Provider Name
- CALIFORNIA HOME FOR THE AGED, INC.
- Entity Type
- Organization
- Location Address
- 6720 E KINGS CANYON RD FRESNO, CA 93727
- Location Phone
- (559) 251-8414
- Location Fax
- (559) 251-5766
- Mailing Address
- 6720 E KINGS CANYON RD FRESNO, CA 93727
- Mailing Phone
- (559) 251-8414
- Mailing Fax
- (559) 251-5766
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-29-2006
- Last Update Date
- 07-30-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 040000081
- License State
- CA
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 05-5955 | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | |
| ZZR05955F | MEDICAID (05) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0885228
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- April 16, 2026
- Certificate Expiration Date
- April 15, 2028
- Laboratory Director
- ASHA P. SIDHU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to California Home For The Aged, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205903176, enumerated as an "organization" on November 29, 2006.
The provider is located at 6720 E KINGS CANYON RD FRESNO, CA 93727 and the phone number is (559) 251-8414.
Skilled Nursing Facility with taxonomy code 314000000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
